BOTH JUNIOR & SENIOR CAMPS (Must be eligible for both, by age & grade)

I understand that we must provide two costumes, under the guidance of the Costume Mistress. *

Yes.

Yes, I agree, but will need help with costume costs.

Student T-shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Extra Small/Youth Extra Large

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Adult 2-X

Adult 3-X

Adult 4-X

Waiver (Check box to Agree) The undersigned parent or legal guardian of the above named child hereby gives their approval for the child’s participation in the 2017 LBM Productions Summer Program. I further release, absolve, indemnify and hold harmless LBM Productions and their officers, directors, agents and employees from any and all claims or causes of action for bodily injuries or death resulting from the child’s participation in the 2017 Summer Program, including damages, costs and attorney fees. I further understand that the 2017 Summer Program will not provide any form of medical insurance and that any expenses incurred as a result of any injury sustained from participation in the 2017 Summer Program shall not be the responsibility of LBM Productions or any of their officers, directors, agents and employees. The undersigned parent/legal guardian hereby authorizes a representative of the LBM Productions to obtain medical services for the above listed participant in the event such medical services are required. If I choose to participate as a parent volunteer, I agree to all of the above as it applies to my person. By signing below, I also give LBM Productions the right to use this student's image online, in print, and in publicity television and newspaper advertisements, as well as on television talk shows & news reports. *